Neurological & Vestibular Rehab
Specialized rehabilitation approaches for neurological conditions and balance/dizziness disorders.
About Neurological & Vestibular Rehab
Our neurological and vestibular rehabilitation services address complex conditions affecting the brain, spinal cord, and balance system.
We utilize evidence-based approaches to help patients improve movement, function, and independence following stroke, traumatic brain injury, and other neurological disorders.
Our vestibular rehabilitation techniques specifically target dizziness, vertigo, and balance problems with a comprehensive approach to restore stability and confidence in daily activities.
Neurological rehabilitation at Modern Physio helps people recover movement, balance, and independence after stroke ("paralysis"), and manage Parkinson’s disease, neuropathy, and vestibular (dizziness and balance) disorders. Care is led by Dr. Surabhi Bansal (BPT, MPT Ortho), with 14+ years of experience and training in India and the USA.
Families in Jaipur often search for a "stroke doctor" or "paralysis treatment" — and the honest answer is that stroke recovery needs two kinds of doctors working together. Your neurologist or physician manages the medical side: blood pressure, clot prevention, medicines. What retrains the arm, the leg, the balance, and the walking is structured, repetitive, task-specific rehabilitation — and that is physiotherapy work. We coordinate with your treating neurologist rather than replace them.
The science behind this is neuroplasticity: the brain’s ability to rewire around damaged areas when a movement is practised often enough, at the right difficulty. Neuroplasticity is real and well documented, but it is not magic — it responds to hundreds of quality repetitions over months, not to any machine or massage on its own. Our job is to structure that practice using approaches such as NDT (Bobath) and PNF, and to be honest with you about what is improving and what has plateaued.
Who This Helps
Stroke survivors — from the first weeks after discharge to people whose stroke was months or years ago and who want a fresh, goal-based programme.
People with Parkinson’s disease experiencing slowness, stiffness, small steps, freezing, or falls; NICE recommends physiotherapy referral specifically for balance and movement problems.
People with peripheral neuropathy (commonly diabetic) whose numb feet make walking unsteady and falls more likely.
Anyone with vertigo, dizziness, or unsteadiness from an inner-ear (vestibular) disorder, including BPPV, where repositioning manoeuvres and gaze-stability exercises are the established treatment.
Older adults with declining balance or a recent fall, and families who want a structured falls-prevention programme rather than just "be careful".
People recovering from other neurological conditions — facial palsy, Guillain-Barré recovery phase, multiple sclerosis — where graded, supervised exercise supports function.
What a Session Looks Like
- 1
Booking: call or WhatsApp the clinic. For stroke and Parkinson’s patients we ask a family member to join the first visit — recovery is a team activity, and the home carer needs to learn the programme too. Home visits are available across Jaipur when travel is the barrier.
- 2
Assessment: we review your medical reports and medicines, then assess muscle power, tone and spasticity, sensation, sitting and standing balance, transfers, and walking. For dizziness, we assess gaze stability and positional testing for BPPV.
- 3
Goal setting, in your words: "walk to the toilet without help", "hold a cup with the right hand", "climb the stairs to the temple". Every programme is built backwards from goals like these, not from a generic exercise sheet.
- 4
Treatment: task-specific, repetitive practice of the movements that matter, facilitated hands-on using NDT/Bobath and PNF techniques; balance and gait retraining with appropriate support; vestibular exercises or repositioning manoeuvres where indicated.
- 5
Carer training: the family member learns safe transfers, guarding during walking, and the daily home exercise routine — because the repetitions that drive neuroplasticity mostly happen at home, between sessions.
- 6
Review and progression: goals are formally reassessed at fixed intervals. Exercises that have become easy are progressed; approaches that are not producing change are replaced, and we tell you which is which.
Safety & Contraindications
This treatment is not suitable for everyone. Tell your physiotherapist about your full medical history — it is screened for at your first assessment.
- •Sudden new weakness, facial droop, or speech difficulty is a medical emergency — that is a possible new stroke and needs a hospital immediately, not a rehabilitation session.
- •Rehabilitation is paused and your physician consulted if you have uncontrolled blood pressure, unstable heart disease, or uncontrolled seizures; exercise intensity must be medically safe before it can be useful.
- •Suspected deep vein thrombosis (new calf swelling, warmth, pain) after a period of immobility means exercise stops and you are referred the same day.
- •Vestibular repositioning manoeuvres (such as Epley) are modified or avoided with significant neck instability, severe cervical spondylosis, recent neck surgery, or vertebrobasilar insufficiency.
- •In neuropathy with reduced sensation, heat modalities and unsupervised high-impact loading are avoided — feet that cannot feel cannot warn you of injury; footwear and skin checks are built into the programme instead.
Expected Timeline
Stroke: the fastest recovery usually happens in the first three to six months, which is why starting structured rehabilitation early matters. That said, research and guidelines are clear that meaningful gains can continue well beyond six months with goal-directed practice — "one year is the limit" is a myth we do not repeat. Expect formal reassessment roughly every four to six weeks, with goals updated each time.
Parkinson’s disease is progressive, so the honest goal of physiotherapy is different: to maintain walking, balance, and independence for as long as possible, reduce falls, and adapt strategies (cueing, big-movement training) as the condition changes. Think of it as ongoing management with periodic blocks of therapy, reviewed alongside your neurologist’s medication changes.
Vestibular problems often improve faster than other neurological conditions: BPPV frequently settles within a few sessions of repositioning manoeuvres, while gaze-stability retraining for other vestibular disorders typically runs over several weeks. Whatever the condition, if reassessment shows no measurable change across a fair trial of treatment, we say so and discuss next steps — including referral back to your specialist — rather than continuing indefinitely.
Evidence Base
NICE stroke rehabilitation guidance recommends structured, needs-based rehabilitation, including task-specific training for strength, balance, and gait, continued as long as the person is benefiting.
NICE guideline NG236 — Stroke rehabilitation in adultsNICE recommends referral to a physiotherapist for people with Parkinson’s disease who have balance or motor function problems.
NICE guideline NG71 — Parkinson’s disease in adultsA Cochrane review found that physical fitness training after stroke improves walking speed and capacity and balance, and is safe.
Cochrane review CD003316 — Physical fitness training for stroke patientsA Cochrane review found moderate to strong evidence that vestibular rehabilitation is safe and effective for unilateral peripheral vestibular dysfunction.
Cochrane review CD005397 — Vestibular rehabilitation for unilateral peripheral vestibular dysfunctionThe Chartered Society of Physiotherapy summarises evidence that physiotherapy after stroke improves function, balance, and mobility.
Chartered Society of Physiotherapy — Physiotherapy works: strokeFrequently Asked Questions
Which doctor should we see for paralysis treatment in Jaipur?
Two, working together. A neurologist or physician manages the medical causes and medicines after a stroke. Recovery of movement — the arm, the leg, walking, balance — comes from structured rehabilitation, which is led by a physiotherapist. At Modern Physio, Dr. Surabhi Bansal coordinates your rehab with your treating neurologist; neither role replaces the other.
How soon after a stroke should physiotherapy start?
As early as the medical team allows — usually within days, once the patient is medically stable. Early, structured rehabilitation makes the most of the initial recovery window. If your family member has already been discharged without a rehab plan, do not wait; book an assessment now, whether the stroke was last week or last year.
Can physiotherapy help if the stroke happened more than a year ago?
Often, yes — honestly, with caveats. The steepest recovery happens in the first months, but goal-directed, repetitive practice can still produce meaningful gains later, particularly in walking, balance, and daily-task independence. What we will not do is promise a full recovery. We set specific goals, trial a block of treatment, measure, and tell you plainly what is changing.
What exactly is neuroplasticity — is it a real treatment?
Neuroplasticity is not a treatment you buy; it is how the brain responds to practice. After injury, undamaged brain areas can gradually take over lost functions — but only when the movement is practised intensively, at the right difficulty, hundreds of times. Physiotherapy structures that practice. Be cautious of anyone selling a machine or a massage as "neuroplasticity therapy" on its own.
Do you treat Parkinson’s disease, and what can physiotherapy actually do for it?
Yes. Physiotherapy cannot slow the disease itself — medicines from your neurologist do that work — but it demonstrably helps the movement problems: bigger steps, better balance, fewer falls, strategies for freezing, and confidence in daily activities. NICE specifically recommends physiotherapy referral for balance and motor problems in Parkinson’s.
My mother has vertigo. Is that treated with medicines or exercises?
It depends on the cause, which is why assessment matters. BPPV — the most common cause of brief spinning on rolling over or looking up — is treated with head-repositioning manoeuvres, not long-term medicines, and often settles in a few sessions. Other inner-ear problems respond to graded gaze-stability and balance exercises. Persistent vertigo despite this is referred onward for medical evaluation.
Do you provide home physiotherapy for stroke patients in Jaipur?
Yes. Many stroke and Parkinson’s patients find travel the biggest barrier, so home sessions are available across Jaipur. Clinic sessions do offer more equipment for gait and balance work, so many families combine the two — starting at home and shifting to the Vaishali Nagar clinic as mobility improves.
How many sessions will be needed, and what will it cost?
Neurological rehabilitation runs in blocks of weeks to months rather than a fixed number of sessions, and the honest answer depends on the assessment — severity, time since injury, and goals. After the first visit we give you a clear plan with reassessment points. For current fees, please call or WhatsApp +91 82334 02489; the clinic is open seven days a week.
What should the patient bring to the first appointment?
All medical reports — discharge summary, MRI or CT reports, and the current medicine list — plus any walking aid already in use, and comfortable clothing. Bring a family member who will be involved in daily care: carer training is part of the programme, because most of the practice that drives recovery happens at home.
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Medically Reviewed
This content was reviewed for medical accuracy by Dr. Surabhi Bansal, BPT, MPT (Ortho) with 14+ years of clinical experience.
At Modern Physio, all medical content undergoes a thorough review process to ensure accuracy and alignment with current physiotherapy standards. Our content is created to educate and should not replace professional medical advice. Learn more about our review process.
Our Neurological & Vestibular Rehab Services
Neuro-Developmental Techniques (NDT/Bobath)
Specialized approach to improve posture, movement, and function in patients with neurological conditions.
Proprioceptive Neuromuscular Facilitation (PNF)
Advanced techniques using specific movement patterns to improve strength and coordination.
Balance & Gait Re-Training
Specialized exercises and equipment to improve walking and balance after neurological injury or with aging.
Vestibular Rehabilitation
Targeted exercises to address vertigo, dizziness, and balance disorders including BPPV.
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